26071-100-VSC-EL4-00024 Rev.00A - WMS Cable Tray Installation

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Doc. No.

: 26071-100-VSC-EL4-00024

Job No. : 26071 Rev.00A

Method Statement of Cable tray &


Ladder Installation
PROJECT :Engineering, Procurement and Construction (EPC) Inside
Battery Limits (ISBL) and Outside Battery Limit (OSBL) for
the Refinery Development Master Plan (RDMP) Project RU
V Balikpapan
LOCATION : Refinery Unit V Balikpapan, East Kalimantan,Indonesia
OWNER : PT Kilang Pertamina Internasional
PO NO. : RDMP-R-SC-EL-004

00A 03-Jan-2022 ISSUED FOR REVIEW TRIYUDO FELIX SRI


PRANOTO HADY WIJAYA
MULYANTO
REV. DATE DESCRIPTION PREPARED CHECKED APPROVED

Page 1 of 25
Doc. No. : 26071-100-VSC-EL4-00024

Job No. : 26071 Rev.00A

REVISION LOG
REV DATE PAGE DESCRIPTION
00A 03-Jan-2022 - ISSUED FOR REVIEW

Page 2 of 25
Doc. No. : 26071-100-VSC-EL4-00024

Job No. : 26071 Rev.00A

TABLEOFCONTENTS

Titles Page

1 INTRODUCTION 5

2 GENERAL 5

3 PURPOSE 5

4 SCOPE OF WORK 6

4.1 Main Scope 6

4.2 Work Performed 6

4.3 Work Reference Error!


Bookmark not defined.

5 MATERIAL AND FIELD EQUIPMENT 7

5.1 Equipment And Tool List 7

6 RESPONSIBILITIES 7

6.1 Project Manager 7

6.2 Project Engineer 7

6.3 Electrical Site Engineer 8

6.4 Electrical Site Supervisor 8

6.5 Foreman 8

6.6 QA/QC 8

7 WORK PREPARATION 9

7.1 Preparation 9

7.2 Personnel Protective Equipment (PPE) 9

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Job No. : 26071 Rev.00A

7.3 Work Permit (Ptw: Permit To Work) 10

7.4 Night Work & Day Shift Extended Hours 10

7.5 Emergency Response Plan (ERP) 10

8 INSTALLATION CABLE TRAY 11

8.1 General 11

8.2 Material Handling 12

8.3 Cable Tray And Ladder Installation 13

8.4 Main Tray 13

8.5 Branch Tray 14

8.6 Shifting Of Cable Tray On Site 14

8.7 Marking The Route 14

8.8 Hanging Support 14

8.9 Marking The Route 18

8.10 Cable Tray And Ladder Inspection 18

9 GENERAL REQUIREMENTS FOR SAFETY WORKS 18

9.1 General Rules 19

10 ATTACHMENT 19

Appendix A 20

Appendix B 21

Appendix C 22

Appendix D 23

Appendix E 25
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Doc. No. : 26071-100-VSC-EL4-00024

Job No. : 26071 Rev.00A

1 INTRODUCTION

The main purpose in installing this cable tray is to protect the cable so that it is
protected from animals or hazardous materials, in general electrical equipment is
installed steel support so that the electrical equipment does not directly come into
contact with the ground, in the installation of this steel supporting required capable and
competent workers, so that the work can run smoothly, and can adjust the time and
cost, Without forgetting the safety aspect of work.
PT. Enviromate Technology International has competent and capable workers in
the installation of Cable tray in various projects in Indonesia.

2 GENERAL

Definition

Engineering, Procurement and Construction (EPC) Inside Battery


PROJECT Limits (ISBL) and Outside Battery Limit (OSBL) for The
Refinery Development Master Plan (RDMP) Project RU V Balikpapan

OWNER PT. PERTAMINA (PERSERO)

PMC Worley Parsons Ltd.

Integrated Project Management Team consists of a combination of


OWNER Personnel and PMC. Communication between OWNER and
IPMT
CONTRACTOR to be executed through IPMT as representative of
OWNER

JO Joint Operation, CONTRACTOR's Joint Operation (JO) Body

CONTRACTOR RDMP JO Balikpapan SHRP

SUBCONTRACTOR (S/C) PT. Enviromate Technology International

RDMP Refinery Development Master Plan

3 PURPOSE
The installation of the cable tray aims to protect the cable from animals
hazardous materials. In addition to separating or tidying cables to make it look neat.

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Doc. No. : 26071-100-VSC-EL4-00024

Job No. : 26071 Rev.00A

4 SCOPE OF WORK

4.1 MAIN SCOPE

The main scopes of work for Installation Steel Support are as follows :
1. Make sure the component of steel support on good condition.
2. Make sure of completeness of steel support for so as not hinder the work to be
done.
3. Make sure the area for installation steel support in safety condition.
4. Installation steel support must accordance of Work Instruction which have been
specified, and worker who are competent or competence in this job.
5. Housekeeping after working activity.
6. Make report about the result of checking together and if shortage of components
steel support after the job has been done.
4.2 WORK PERFORMED

The work of installation steel support in the place that has been determined, if
there is a challenge in the work, will inform and discuss to the main contractor to
determine the work or wait for the decision of the main contractor. It consists of work
areas, tools and material licenses and technical services. And any supervision
is performing any and all work required for;
1. Preparing to cable tray
2. Cleaning up site and demobilization
3. Preparing and submitting to the client a performed install cable tray plan, location,
and reports required by specification
4.3 WORK REFERENCE

1. 26071-100—3SS-E00X-00001-001 Electrical Installation and Testing During Pre-


Commissioning (Amendment)
2. 26071-100-GQI-GCQ-00031 Inspection and Test Plan for Earthing & Lightning Protection
System Work
3. 26071-100-GQI-GCQ-00035 Inspection and Test Plan for Lighting Small Power System
Work
4. 26071-100-GQI-GCQ-00036 Inspection and Test Plan for Electrical Cable Raceway Work
5. 26071-100-GQI-GCQ-00037 Inspection and Test Plan for Electrical Cable Work
6. 26071-100-GQI-GCQ-00038 Inspection and Test Plan for Electrical Equipment Installation
Work

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Job No. : 26071 Rev.00A

5 MATERIAL AND FIELD EQUIPMENT

5.1 EQUIPMENT AND TOOL LIST ❖

Star L Wrench Set


❖ Wrench Set
❖ Grinding Machine
❖ Drilling Machine
❖ Hacksaw
❖ TMC (If needed)
❖ Tape Measure

6 RESPONSIBILITIES

6.1 PROJECT MANAGER


• Overall responsible for the implementation of this method statement.
• Ensure that all required submittal is made in timely manner
• Responsible for ensuring that the work is performed in accordance with the
specification and within the time and cost constraints.
• Coordination with the CONTRACTOR, COMPANY, Other Subcontractors and
Civil Personnel for the safety and quality during the execution of the project.
• Co-ordinate with the CONTRACTOR’S Coordinator for obtaining the necessary
resources for the project and deployment as required.
6.2 PROJECT ENGINEER

• Ensure that the activities are carried out according to the Specifications,
drawing and approved Method statement.
• Ensure that all required submittal is made in a timely manner.
• Arrange all materials and tools required for installation as per agreed project
schedule.
• Provide all necessary information and distribute the responsibilities to his unit
installation team.
• Monitoring that all in process test are carried out and obtained approval from
company’s representative.
• Monitoring and ensuring that the work is performed in accordance within the
time and cost constraints.

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Job No. : 26071 Rev.00A

6.3 ELECTRICAL SITE ENGINEER


• Electrical Site Engineer shall be responsible for checking the cable drum length
schedule, lighting poles, lighting fixture and other associated materials before
starting the execution.
6.4 ELECTRICAL SITE SUPERVISOR
• Electrical site supervisor shall be responsible for maintenance (Control the
material issued) of all required martial (free issued from store) and ensure that
each item is ready for execution. He shall be responsible to supervise of cable
pulling, laying, dressing, glanding and termination.
• He shall also be responsible for raising the inspection test request to QC at
each stage as per QCP/ITP requirements.
6.5 FOREMAN
• Carrying out the work and the proper distribution of all the available resources
in coordination with the Site Engineer on a daily basis
• Continuous coordination and following Site Engineer/Supervisor’s instructions
to meet quality requirement during the job execution
• Incorporate all the QC and Safety requirements as requested by the
Company’s representative.
• Report to Site Engineer the accomplishments and problem encountered on
daily basis.
6.6 QA/QC
• Manage the internal and external audit implementation process
• Controlling, supervising, evaluating in general the running of the ISO
Management System in the Department
• Lead and manage the Company Management Review Meeting
• Manage the audit from customer (if any)
• Coordinate the internal quality and safety audit
• Reporting the results of the Company's internal & external Quality audits
• Coordinate the course of surveillance from the certificate body

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Job No. : 26071 Rev.00A

7 WORK PREPARATION

7.1 PREPARATION
❖ Hold a toolbox meeting before starting work.
- Provide information about the importance of safety when doing work.
- Provide information to workers about the regulations that must be
implemented at the time of the worker.
- Provide information to workers about safe or dangerous areas while doing
work Provide information to workers about warning signs in the area.
❖ Explaining JSA to every worker.
- Provides employees with an explanation of the JSA about the dangers and
their handling.
❖ Make sure the location for installation, so as not to interfere with other activities.
❖ Install a barricade around the work area.
❖ Check that the work equipment is working properly.
❖ Ensure the permit work has been approved by JO or Owner

7.2 PERSONNEL PROTECTIVE EQUIPMENT (PPE)

The usage of the following PPE is mandatory during the construction work.

❖ Safety helmet
❖ Safety shoes
❖ Safeguard (Coverall)
❖ Personnel Hearing protection (e.g. ear plug, ear muffs and etc.)
❖ Hand gloves
❖ Safety glasses (clear glasses during night works)
❖ Reflective vest (If required)
❖ H2S / Gas Detector (If required)

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Job No. : 26071 Rev.00A

7.3 WORK PERMIT (PTW: PERMIT TO WORK)


❖ To start the work SUBCONTRACTOR will follow approved permit to work procedure
along with the approved WMS, Risk Assessment (Or Job Safety Analysis) and the
related drawings showing the working proposal shall be submitted to OWNER.
❖ Before work starts, ensure that all work permits shall be displayed in the Permit Box
on site.
❖ For green field PTW, SUBCONTRACTOR shall follow ‘Work Permit Procedure’ Doc. No.
26071-100-GPP-GHX-00001 and for brown field (existing refinery area)
SUBCONTRACTOR shall follow Owner work permit system (SIKA).

7.4 NIGHT WORK & DAY SHIFT EXTENDED HOURS


❖ Prior approval shall be obtained form OWNER to work outside the normal working
hours.
❖ Area lighting shall produce an overall level of illumination adequate for personnel and
equipment to move around safety to carry out work activities without wisk. When
setting up temporary lighting, consideration should be given to their positioning to
ensure that all areas receive light from at least two directions to prevent shadow.
❖ All exits, pathways and muster point shall be clearly illuminated.
❖ Ladder accesses and agrees shall be clearly illuminated.
❖ Generators provided shall be checked prior to use ensure that they meet site
requirements, if applicable.
❖ Cable provided for temporary lighting shall be routed to ensure that they do not
present a trip hazard or other obstruction.
❖ In case any night work and day shift extended hours happen, SUBCONTRACTOR shall
follow ‘Night Shift Work Procedure Doc. No. 26071-100-GPP-GHX-01004.

7.5 EMERGENCY RESPONSE PLAN (ERP )


❖ Emergency Response Plan must be developed and all personnel acquainted with the
relevant provisions and know to do in case of any emergency.
❖ SUBCONTRACTOR shall have suitably trained fire watch man among his crew at all
times during onsite operations.

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❖ The SUBCONTRACTOR shall display emergency evacuation procedures at strategic


locations on the site and ensure arrangements are in place to call for outside help if
need to assist in any emergency associated with the Work on Site.
❖ SUBCONTRACTOR shall at all-time keep updated with list of addresses and telephone
numbers of the SUBCONTRACTOR and OWNER staffs who are responsible
for organizing emergency responses at Site.
❖ In case any emergency happens during night activities. Contractor shall follow Project

Emergency Handling Procedure Doc. No. 26071-100-GPP-GHX-00002. As an example,


for general and fire emergency responses flowchart could be seen below.

8 INSTALLATION CABLE TRAY

8.1 GENERAL
• Welding of support and bracket shall follow the Welding Procedure.
• All support steel work must be cleaned prior to its installation.
• All welding or drilling to existing structures shall be cleaned, primed and touch-up
painted immediately afterwards. Access to structural must be cleared especially
drilling and welding over vessels.
• Where existing structures are galvanized. All welds and burrs shall be cleaned and
touch-up painted immediately afterwards.
• Support steel works shall be installed using the most suitable fixing method and in
accordance to the support detail.
• Where possible the electrical lighting fixtures and fittings shall assembly pre-wired
prior to installation.
• The assembly shall be firmly mounted in order to avoid excessive vibration.
• Ensure that the latest revision of the relevant drawing, specification and Documents
are available and are in use.
• The proposed location shall be inspected to ensure that the equipment does not clash
with existing structures or pipe work and that it does not obstruct walkways or access
points.

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• Inspect the proposed location to ensure that adequate access/egress is Available at


all times while the work is being carried out.
• The supervisor/foreman will assure himself that the relevant drawings and
specifications are available and the construction department and any relevant
documentation were available and have been checked and the proposed route is as
per drawing.
• The supervisor/foreman will check that all positions indicated on detailed drawings
where installation work is to take place are easily accessible and free of obstructions.
Confirm that tag number is correct for the location.

8.2 MATERIAL HANDLING


• Cable trays and ladder shall be packed in bundles using adequate banding and
balanced at the center.
• Boxes and bags should be stacked onto suitably sized for handling by a TMC/crane.
Pallets of parts must be kept dry and stacking should be avoided.
• Small parts should be stacked onto suitably sized pallets for handling by a TMC/crane.
• Site deliveries should preferably only be made where suitable mechanical handling
equipment is available on site.
• For offloading by crane suitable lifting beams should be inserted from side to side
beneath a bundle and these must be sufficiently long to avoid undue pressure on the
edges of the bottom components.
• Sheared steel (particularly pre-galvanized or stainless steel) does have relatively
sharp edges and protective gloves must be worn during handling.
• Ensure to storage for material cable tray and ladder to be kept dry and stacking
should be avoided.
• If galvanized products are allowed to become wet whilst stacked awaiting
transportation or installation the finish may quickly suffer from unsightly staining and
powdering on the surface.

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Job No. : 26071 Rev.00A

8.3 CABLE SUPPORT INSTALLATION


▪ Support for cable tray shall provide strength and work load capabilities sufficient to
meet the load requirements of the cable tray wiring system and future cable wiring
system and future cable addition.
▪ All permanent materials (including fabricated supports), consumable, construction
area and resources shall be prepared and checked prior to installation works of cable
tray shall be approved by client representative.
▪ Support of cable tray shall be assembled with proper support fittings, mounted plumb
band level and rigidly secure to the structure all racks and trays shall be fastened the
support members.
▪ Support shall be located in such manner and the tray installed so as avoid supporting
the tray at the end of each section. Connection and splices between horizontal sections
of tray should fall at the quarter point of the span.
▪ Support cable tray for vertical tray should provide secure means, other than friction,
for fastening the tray to the support.
▪ Support cable tray on pipe rack should be supported by metal scaffolding which made
to a triangle shape. The metal scaffolding should be tied to the support cable tray to
prevent it from falling.
▪ Self-standing support for cable tray shall be made of steel channel vertically installed
and supported with concrete foundation, anchor bolt grouting, etc.
8.4 CABLE TRAY AND LADDER INSTALLATION

Cable ladders, cable trays and their supports should be strong enough to meet
the load requirements of the cable management system including cables and any future
cable additions and any other additional loads applied to the system. It shall be carried
in accordance to the approved construction drawing of the cable tray routing. However,
there shall be any changes at site. It shall be verified and to be as built.
8.5 MAIN TRAY
• Install the main cable tray on the support and fix with fixing accessories material (such
as hold down clamp) as specified on the installation detail drawing
• Bending or Tee of the main cable tray shall joint with vendor fabricated fittings as
shown on the drawing.
• Bounding jumper installation at every jointing and between tray to tray.

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Job No. : 26071 Rev.00A

8.6 BRANCH TRAY


• Install the branch tray (perforated tray or perforated angle) on the support and fix
with bolt and nut as specified on the drawing of typical installation for branch tray.
• The branch tray installed in discreetly without bending fittings (without elbow, tee,
etc.)
• Bounding jumper installation at every jointing and between tray to tray.

8.7 SHIFTING OF CABLE TRAY ON SITE


• Cable Tray shall be carefully unloaded or shifted to the site by using Crane/Hydra or
by sufficient manpower and moved to a defined installation location.
• Remove the packing and ensure that the Cable Tray is free from transportation
damages
• Check and ensure that approved drawings, the correct size and type of cable trays,
trunking & accessories are ready for installation.
• Ensure that cable trays/trunking and accessories received from site store for the
installation are free of rusty parts and damages.

8.8 MARKING THE ROUTE


• Mark the route of Cable Tray and Trunking as per approved drawings with marking
threads. The route of Cable Tray and Trunking need to be coordinated with other
services and shall be confirmed by the Site Engineer.
• Minimum space from the building structure and other services to be maintained (200
mm from the nearest point) to facilitate easy handling and maintenance of cables.
• If Possible, Do not install Cable trays below water/sewage pipes.

8.9 HANGING SUPPORT


• The location of hangers and supports should be carefully marked as per the approved
specifications and Drawings.
• Required sizes of holes should be marked and drilled by using a drilling machine.

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• The threaded rod (M12 steel) or Specified rod should be fixed carefully into the
anchor using clamping tools for a balance smooth twist. The threaded rod should be
necessary thickness and length. Sizes should be as approved in the drawing. It should
be done in such a way as to avoid damage to the threaded rod.
• When thread is done, a washer should be inserted into it. The washer should also be
the required size and of quality. It should be fixed properly and the nut fastened tight
to ensure that the threaded rod is strong and able to bare load.
• Trays and ladders shall be securely anchored to supports. They shall be secured such
that the tray or ladder system will not move during cable installation.
• Ensure that rod is properly vertical under operating conditions.
• Tighten hanger load nut securely to ensure proper hanger performance. Tighten
upper nut after adjustment
• The distance between supports is called SPAN. The support span should not be
greater than the length of the tray. This will prevent two connecting points from
being located within one support span.

• The support span should not be greater than the straight section length, or as
recommended by the manufacturer, to ensure that no more than one splice is
located between supports.

• Cable Tray and Trunking joints are to be positioned as close to the supports as
possible, not more than 300 mm from either side.

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Job No. : 26071 Rev.00A

• Splice joints fall between the support and the quarter point. When installing a 12-
foot long section, for example, a support spacing of 3.7 m (12 foot) causes the splice
joints to fall at the same position every time.

• The maximum tray overhang past the last support should not exceed 600 mm (2 ft). •
At every maximum of 1200 mm horizontally and 1500 vertically supports should be
installed.
• Horizontal cable trays and ladders shall be supported by either wall mounted support
bracket or a hanger rod system. The intervals between supports shall be
as recommended by the manufacturer but this shall not exceed 1 meter for
wall mounted support brackets, and 2 meter for the hanger rod system.
• The hanger, hanging support, cable tray bracket and the ladder should be trimmed
to required size and galvanizing paint should be applied on the edges.
• Group parallel runs of trunking should be supported together where it is possible.

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Job No. : 26071 Rev.00A

• For shaft cable trays and ladders that are vertical, all supports and fixings should be
done as approved.
• Do not cut or drill structural building members (e.g., I-beams) without approval by
the Main contractor.
• Warning: Do not use a cable tray as a walkway, ladder, or support for people; cable
tray is a mechanical support system for cables and raceways. Using cable trays as
walkways can cause personal injury and can damage cable tray and installed cables.
• Horizon Fitting Support: NEMA Standard
• Supports for horizontal fittings should be located at a distance, no greater than 610
mm (24″) from each end of the fitting on the attached ladder.
• Fitting must also be supported at the radius center point on both sides of the fitting
as per below:

- At the midpoint (45°) of the arc for a 90° elbow.


- At the midpoint (30°) of the arc for a 60° elbow.
- At the midpoint (22.5°) of the arc for a 45° elbow, excluded are 305 mm (12″)
radius fittings.
- At the midpoint (15°) of the arc for a 30° elbow, excluded are 305 mm (12″)
radius fittings.

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Job No. : 26071 Rev.00A

8.10 MARKING THE ROUTE


• Cable tray systems shall not be installed in hoist ways or where subject to sever
physical damage. Metal cable tray systems may support conductor types allowed in
certain areas to include environmental air and classified locations. The restrictions
apply to the conductors being installed not the cable trays. Local codes apply.
• Cable tray systems are to be installed so they are accessible. If possible 300mm (12
inches) minimum should be left above or between installed systems to allow for cable
installation and maintenance.
• Cable tray installations should avoid possible fire areas. Should that not be possible
and there are critical circuits involved, stainless steel cable tray and fire-resistant
cables should be considered. Wrapping the cable tray in a flame-resistant blanket
may create a cable-heating problem without a fire. Installing a physical fire shield
beneath the cable tray system may provide only limited improvement and create
other issues.

8.11 CABLE TRAY AND LADDER INSPECTION


• Inspection of cable ladder/tray installation shall be carried out with client inspector.
It shall be recorded and sign off.

9 GENERAL REQUIREMENTS FOR SAFETY WORKS

Employees of PT. Enviromate Technology International who work in the RDMP


RU V environment must comply with the rules below, and are willing to fulfill all
requirements arising from the existence of these regulations. The contractor is fully
responsible for providing the necessary facilities and infrastructure, as calculated in the
cost of the project / contract.

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Job No. : 26071 Rev.00A

9.1 GENERAL RULES

PT. Enviromate Technology International has general rules about HSE issues as
these following items :

1. General rules for its employee regarding smoking policy


2. General rules for this employee regarding prohibited items such weapons; alcohol;
drugs; Handphone
3. General rules for its employee regarding driving in public area.
10 ATTACHMENT
Attachment #1
JSA Cable Tray Installation

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Appendix A

Plan Layout Area RDMP JO Balikpapan

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Appendix B

Worker Competency Requirements RDMP Balikpapan JO

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Appendix C

Training Matrix RDMP Balikpapan JO

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A
ppendix D
Flowchart Emergency Response RDMP Balikpapan JO

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Appendix D Flowchart Emergency Response RDMP Balikpapan

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A
ppendix E
Contact of Emergency Response RDMP Balikpapan JO

Page 25 of 25
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

Project : RDMP Balikpapan SPV By


Prepared Chief/MGR HSE
Review by
Scope of Work/Pkg
Company : Electrical Work Technology
PT. Enviromate Package 4 NAME
JSA No. : RDMP / JSA / ……… / ……..
International SIGNATURE
Position/ Title job : Superintendent
Job activity : Cable tray Installation
Area :
Date : DATE

NO Permit Registry No NO √ Permit


Close √ Registry No
Status Status
Open Open √ Close √

Sequence of Basic Risk


Hazard Risk Consequence / severity Assessment* Recommendation act
NO Job Steps
Bahaya Resiko Akibat Tindakan Pengendal
Tahapan pekerjaan PR SV RR
1 Conduct a toolbox 1.1 Planning errors, Workers do not Delayed work / 3 2 6 1.1.1 Explain all topic
meeting before incomplete and understand work Tertundanya pekerjaan as much detail as poss
starting work. accurate instructions Injury to worker / Cedera and determine the pe
information Pekerja kurang pada pekerja in charge of each work
(Mengadakan obtained from the memahami instruksi step as well as the limit
toolbox meeting manual. / kerja authority and obligatio
sebelum memulai Kesalahan Menjelaskan semua top
pekerjaan) perencanaan, sedetail mungkin dan
kurang lengkap dan menetapkan penanggun
akurat informasi jawab dari setiap langk
yang di dapatkan kerja serta batas wewen
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

dari manual. dan kewajibannya


1.2 The explanation
of the stages of 1.1.2 Decide firmly on
work that is work steps and can be
confusing and accounted for by all pa
cannot be related to the work in
understood by the question / Memutuskan
parties involved in dengan tegas langkah k
the meeting. / dan dapat di pertanggu
Penjelasaan dari jawabkan oleh semua
tahapan pekerjaan pihak yang terkait deng
yang pekerjaan yang di
membingungkan bicarakan
dan tidak dapat di
mengerti oleh pihak 1.1.3. All worker shou
yang terlibat dalam be obey with RDMP
rapat. regulation.
Semua pekerja harus
mematuhi peraturan
RDMP JO

1.1.4.All worker should


understand for job
sequence, hazard,
mitigation.
Semua pekerja harus
memahami urutan
pekerjaan, bahaya,
mitigasi

2.1 Virus Covid 19 Covid 19 Virus Occupational Illness 4 3 12 2.1.1.Membersihkan


Hazard transmission Penyakit akibat kerja Fasilistas tempat kerja
Bahaya virus Penularan virus dengan disenfektan
Covid-19 covid-19
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

2.1.2. Before start all o


people should getting
Daily Check Up
Sebelum memulai sem
orang harus mendapat
pemeriksaan harian.

2.1.3. wash hands w


soap and running wa
mencuci tangan denga
sabun dan air mengalir

2.1.4. omply with polic


and regulations or SOP
for anticipating the cov
19 virus
mematuhi kebijakan da
peraturan atau SOP
antisipasi virus covid-1

2.1.5.Wearing a mask a
work.
Menggunakan masker
bekerja
2 Prepare PPE, work 1.1 Planning Workers do not Delayed work / 2 3 6 1.1.1 There is supervi
equipment truck , errors, incomplete understand work Tertundanya pekerjaan and coordination betw
work location and and accurate instructions Pekerja teams to prevent
work drawings information kurang memahami negligence / Adanya
obtained from work instruksi kerja pengawas dan koordina
(Persiapkan APD, instructions. / antara team untuk
peralatan kerja, Kesalahan mencegah kelalaian
pemeriksaan perencanaan,
equipment truck, kurang lengkap dan 1.1.2 Use personal
lokasi kerja dan akurat informasi protective equipment
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

gambar kerja) yang di dapatkan according to work and


dari instruksi kerja proper use / Dunakan a
1.2.PPE not provide pelindung diri sesuai
by company pekerjaan dan layak pa
APD tidak di
sediakan oleh 1.1.3 Company should
perusahaan provide proper PPE
1.3.Wrong use PPE Perusahaan harus
Salah memakai menyediakan APD yan
APD tepat.

2.1 There has not The truck was Delayed work 3 4 12 2.1.1 Do a pre-start che
been an inspection damaged, caught Injury to worker / before the truck is used
of the truck that Fire Tertundanya pekerjaan pastikan dilakukan pre-
will be used / Truck mengalami Cedera pada pekerja start check sebelum tru
Belum dilakukan kerusakan, terbakar di gunakan
inspeksi truck yang
akan di gunakan 2.1.2 It's done regularly
a competent person /
mechanic / pastikan
dilakukan berkala terha
orang yang berkompete
mekanik

2.1.3.Regular inspecti
must be conducted da
basic.
Inspecti rutin harus
dilakukan setiap hari

3.1 Truck crane Damage equipment Injury to workers and 3 4 12 3.1.1 Tool is operated b
operated by an and collapse damage to equipment competent operator and
incompetent person Alat rusak, collaps Cedera pada pekerja dan operator has a valid
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

/ Alat yang dan jatuh kerusakan pada equipment SIO/SILO, and simper
dioperasikan oleh Pastikan alat di operasi
orang yang tidak oleh operator yang
berkompeten berkompeten dan opera
memiliki SIO/SILO, da
simper yang masih berl

3.1.2. Operator & HSE


should check Lifting
calculation before doin
lifting work.
Operator dan HSE har
memeriksa kalkulasi
pengangkatan sebelum
melakukan pekerjaan
pengakatan.

4.1.1 Availability of
4.1 Dangers of Dehydration Occupational Illness 3 3 9 sufficient drinking wat
continuous sun Dehidrasi Penyakit akibat kerja the work area /
exposure at work / Tersedianya air minum
Bahaya paparan yang cukup di area ker
sinar matahari
secara terus 4.1.2 Drinking water
menerus dalam should keep on shelter
pekerjaan with roof
Air minum harus di sim
di tempat yang teduh
beratap.

4.1.3. Do not use sharin


cup
Tidak boleh memakai
cangkir berbagi.
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

4.1.4. Drinking water


shelter should have sig
hand pump, table, wast
bin.
Tempat penampungan
harus ada tanda, pomp
tanagn, meja dan temp
sampah.

3 Workers begin to 1.1 Measurement Workers do not Delayed work / 2 2 4 1.1.1 There is supervi
check the cable error, incomplete understand work Tertundanya pekerjaan cable list and coordin
lines and measure and accurate Injury to worker / Cedera between teams to pre
instructions
them information pada pekerja negligence / Adanya
Pekerja kurang
obtained from work pengawas,cable list dan
(Pekerja mulai cek instructions. / memahami
koordinasi antara team
jalur kabel dan Kesalahan instruksi kerja untuk mencegah kelala
mengukurnya) pengukuran, kurang
lengkap dan akurat
1.1.2.Do not put cabl
informasi yang di
directly on the groun
dapatkan dari
instruksi kerja Jangan menaruh kabe
langsung diatas tanah.

1.1.3. Cable must be hu


condition with cable
protection.
Kabel harus dalam pos
di gantung dengan
pelindung kabel.

Worker can be Injuries to workers even 4 5 20 2.1.1 Use tools that do


2.1 Work in tension
electrocuted to fatality conduct electricity /
area / pekerjaan di
Pekerja dapat Cedera pada pekerja Memakai alat yang tida
area bertegangan
tersengat listrik
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

bahkan sampai kematian menghantarkan listrik.

2.1.2 Check the conditi


of the tool is in good
condition / Periksa
keadaan alat dalam kon
baik

3.1 Danger of Fall and pinched Injury to worker / Cedera 3 3 9 3.1.1 Use personal
tripping / Bahaya Terjatuh pada pekerja protective equipment
tersandung Terjepit according to work and
The danger of proper use / Dunakan a
pinching / Bahaya pelindung diri sesuai
terjepit pekerjaan dan layak pa

3.1.2 Availability of
officers and first aid ki
Tersedianya Petugas d
kotak P3K

3.1.3 Do not use rubber


shoes during work on d
condition ( especially c
tray / platform )
Jangan gunakan sepatu
karet selama bekerja
dalam kondisi kering
(terutama di cable tray
platform )

4.1 Dangers of Dehydration Occupational Illness 3 3 9 4.1.1 Availability of


continuous sun Dehidrasi Penyakit akibat kerja sufficient drinking wate
exposure at work / the work area /
Bahaya paparan sinar Tersedianya air minum
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

matahari secara terus yang cukup di area ker


menerus dalam
pekerjaan 4.1.2 Drinking water
should keep on shelter
with roof
Air minum harus di sim
di tempat yang teduh
beratap.

4.1.3. Do not use sharin


cup
Tidak boleh memakai
cangkir berbagi.

4.1.4. Drinking water


shelter should have sig
hand pump, table, wast
bin.
Tempat penampungan
harus ada tanda, pomp
tanagn, meja dan temp
sampah.

5.1 Height hazard Fallen Injuries to workers even 4 4 16 5.1.1Use Full Body
Bahaya Ketinggian Terjatuh to fatality Harness (do not use F
Cedera pada pekerja with shock absorber if
bahkan sampai kematian working under less than
5m.)
Menggunakan Full Bo
Harness (Jangan
menggunakan FBH den
peredam kejut jika bek
di bawah kurang dari 5
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

5.1.2 If using scaffoldin


>The scaffolding used
must be recommended
according to safety
standards
>The scaffold must be
equipped with EIC
(Equipment Inspection
Card)
Jika memakai perancah
scaffolding :
>Perancah yang di
gunakan harus
direkomendasikan ses
standar keselamatan
>Perancah harus dilengk
dengan KIP (Kartu Insp
Peralatan)

5.1.3. Fall protection sy


installation ( Safety net,
line)
Pengaman system jatuh
(Jaring dan tali pengaman

5.1.4 Use personal


protective equipment
according to work and
proper use / Dunakan a
pelindung diri sesuai
pekerjaan dan layak pa

5.1.5.All of worker wh
working at height shou
getting training by JO a
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

getting sticker.
Semua pekerja yang
bekerja di ketinggian
harus mendapatkan
pelatihan dari JO dan
mendapatkan stiker.

5.1.6. Before start all o


people should getting
Daily Check Up
Sebelum memulai sem
orang harus mendapat
pemeriksaan harian.

6.1.Virus Covid 19 Covid 19 Virus Occuptional Illness 4 3 12 6.1.1.Membersihkan


Hazard transmission Penyakit akibat kerja Fasilistas tempat kerja
Bahaya virus Penularan virus dengan disenfektan
Covid-19 covid-19
6.1.2. Before start all o
people should getting
Daily Check Up
Sebelum memulai sem
orang harus mendapat
pemeriksaan harian.

6.1.3. wash hands w


soap and running wa
mencuci tangan denga
sabun dan air mengalir

6.1.4. Comply with


policies and regulations
SOPs for anticipating t
covid-19 virus
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

mematuhi kebijakan da
peraturan atau SOP
antisipasi virus covid-1

6.1.5.Wearing a mask a
work.
Menggunakan masker
bekerja
4. Lifting Materials 1.1 The load being Truck Mobile Injured/Attached by 4 4 16 1.1.1 Load being lifted
on trucks with lifted exceeds the Crane is not strong material does not exceed the lift
Truck Mobile lifting capacity of enough to withstand Terluka/Tertimpa material capacity of the mobile
Crane (TMC) / the Truck Mobile the load being lifted truck crane / Pastikan
Pengangkatan Crane (TMC) / / beban yang di angkat ti
Material keatas beban yang di Truck Mobile melebihi kapasitas ang
truck dengan Truck angkat melebihi Crane tidak kuat Truck Mobile Crane
Mobile Crane kapasitas angkat menahan beban
(TMC) dari Truck Mobile yang di angkat 1.1.2 Position of the T
Crane (TMC) Mobile Crane is safe w
lifting / Pastikan posisi
Truck Mobile Crane am
pada saat melakukan
pengangkatan

1.1.3 Appoint ment is w


coordinated, give a cue
when starting the
appointment / Pastikan
pengangkatan di
koordinasikan dengan
baik, kasih aba aba saa
mulai pengangkatan

1.1.4 Webbing slings a


tackles according to
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

capacity and fit for use


Memastikan webing sli
dan tackle sesuai kapas
dan layak pakai.

1.1.5. All lifting gear


should keep on box
Semua alat pengangkat
harus disimpan di dalam
kotak.

1.1.6. Do not keep liftin


gear on open area with
directly expose with su
wet condition.
Jangan menyimpan ala
angkat di area terbuka
dengan paparan langsu
dengan sinar matahari &
kondisi basah.

1.1.7 Provide metal pla


ground condition not so
/ unstable
Sediakan plat besi jika
kondisi tanah tidak
kokoh/tidak stabil
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

5. Truck/Truck crane 1.1 Material not tied Material Fall or Injury to workers and 3 4 12 1.1.1 the material on th
(TMC) transports Material tidak di ikat collapse damage to equipment truck is tied well
material to the Material jatuh atau Cedera pada pekerja dan Memastikan material di a
designated roboh kerusakan pada equipment truck di ikat dengan baik.
Building/Area
1.1.2 Its not allowed riggi
(Truk/Truk crane
with single straight metho
(TMC) mengangkut
material menuju Tidak diperbolehkan
Gedung/Area yang rigging dengan metode
telah ditentukan) single straight

2.1 Driver driving Truck collides with Injury to workers and 3 4 12


2.1.1 Driver is working
sleepy / Sopir other vehicles damage to equipment a FIT TO WORK
mengemudi dalam Truck Cedera pada pekerja dan (Pastikan sopir bekerja
keadaan mengantuk menabrak/bertabrakan kerusakan pada equipment dalam keadaan FIT TO
2.2 Driver driving dengan kendaraan lain WORK)
drunk / Sopir
mengemudi dalam 2.1.2 The vehicle is run
keadaan mabuk safe speed by paying
2.3 The driver does
attention to the conditio
not understand the
signs in the work area / of the load being lifted
Sopir tidak paham succumbing to heavy
rambu rambu di area transport vehicles.
kerja (Kendaraan di jalankan
pada kecepatan aman
dengan memeperhatika
kondisi muatan yang di
angkat dan mengalah
terhadap kendaraan
angkut berat)

2.1.3 Drivers and ope


are competent worker
have SIO/SILO and h
valid SIMPER
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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(Pastikan driver dan


operator adalah pekerj
yang berkompeten dan
memiliki SIO/SILO ser
memiliki SIMPER yang
masih berlaku)

2.1.4 Drivers and opera


have followed Inductio
Mobilization and
Demobilization
(Pastikan Driver dan
operator sudah mengik
Induction Mobilisasi d
Demobilisasi)
6 Lowering materials in 1.1 The load being Truck Mobile Crane Injured/Attached by 4 4 16 1.1.1 Load being lifted do
according to a lifted exceeds the is not strong enough material not exceed the lifting cap
predetermined lifting capacity of the to withstand the load Terluka/Tertimpa material of the mobile truck crane
location Truck Mobile Crane being lifted Pastikan beban yang di an
(TMC) / Truck Mobile Crane tidak melebihi kapasitas
(Menurunkan beban yang di angkat tidak kuat menahan angkat Truck Mobile Cra
material sesuai lokasi melebihi kapasitas beban yang di angkat
yang telah angkat dari Truck 1.1.2 Position of the Truc
ditentukan) Mobile Crane (TMC) Mobile Crane is safe whe
lifting / Pastikan posisi T
Mobile Crane aman pada
melakukan pengangkatan

1.1.3 Appointment is wel


coordinated, give a cue w
starting the appointment /
Pastikan pengangkatan di
koordinasikan dengan bai
kasih aba aba saat mulai
pengangkatan
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

1.1.4 Webbing slings and


tackles according to capac
and fit for use / Memastik
webing sling dan tackle se
kapasitas dan layak pakai

1.1.5. Make well conditio


with another Sub Contrac
& JO if any blocking acce
plan or any working on sa
area with another
Subcontractor to avaid
symops
Membuat kondisi baik
dengan Subkontraktor
& JO jika ada rencana
akses pemblokiran atau
bekerja di area yang sa
dengan Subkontraktor
untuk menghindari sym

7 Workers begin to 1.1 Mistakes in doing Delayed work 2 3 6 1.1.1 There is supervi
assemble cable Miscommunication / work and coordination betw
supports, ladders, miskomunikasi Kesalahan dalam teams to prevent
and trays melakukan negligence / Adanya
according to the pekerjaan pengawas dan koordina
specified location antara team untuk
and according to mencegah kelalaian
the drawings or
directions of the 2.1 Scratched by a Scratched by a Injury 3 3 9 2.1.1 Use personal
field supervisor sharp object / sharp object Cedera protective equipment
Pekerja mulai tergores benda Pekerja tergores according to work and
merakit cable tajam benda tajam proper use / Dunakan a
support, ladder, dan pelindung diri sesuai
tray sesuai lokasi pekerjaan dan layak pa
yang ditentukan
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

dan sesuai gambar 2.1.2 Availability of


atau arahan officers and first aid ki
pengawas Tersedianya Petugas da
lapangan. kotak P3K

3.1 Hand tools not Broken tool Material loss and delayed 2 3 6 3.1.1 Check the conditi
worth using / Alat rusak work of the tool is in good
peralatan tidak layak Kerugian material dan condition / Periksa
pakai Tertundanya pekerjaan keadaan alat dalam kon
baik

4.1 Dangers of Dehydration Occuptional Illness 3 3 9 4.1.1 Availability of


continuous sun Dehidrasi Penyakit akibat kerja sufficient drinking wate
exposure at work / the work area /
Bahaya paparan sinar Tersedianya air minum
matahari secara terus yang cukup di area ker
menerus dalam
pekerjaan
4.1.2 Drinking water
should keep on shelter
with roof
Air minum harus di sim
di tempat yang teduh
beratap.

4.1.3. Do not use sharin


cup
Tidak boleh memakai
cangkir berbagi.

4.1.4. Drinking water


shelter should have sig
hand pump, table, wast
bin.
Tempat penampungan
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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harus ada tanda, pom


tanagn, meja dan tem
sampah.

5.1.Virus Covid 19 Covid 19 Virus Occuptional Illness 4 3 12 5.1.1.Membersihkan


Hazard transmission Penyakit akibat kerja Fasilistas tempat kerja
Bahaya virus Penularan virus dengan disenfektan
Covid-19
covid-19
5.1.2. Before start all o
people should getting
Daily Check Up
Sebelum memulai sem
orang harus mendapat
pemeriksaan harian.

5.1.3. wash hands w


soap and running wa
mencuci tangan denga
sabun dan air mengalir

5.1.4. Comply with


policies and regulation
SOPs for anticipating t
covid-19 virus
mematuhi kebijakan da
peraturan atau SOP
antisipasi virus covid-1

5.1.5.Wearing a mask a
work.
Menggunakan masker s
bekerja
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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8 Drill holes to 1.1 Planning errors, Workers do not Delayed work / 2 2 4 1.1.1 There is supervi
install bolts if the incomplete and understand work Tertundanya pekerjaan and coordination betw
provided holes do accurate Injury to worker / teams to prevent
instructions
not fit as desired. information Cedera pada pekerja negligence / Adanya
Lakukan
Pekerja kurang
obtained from work pengawas dan koordina
pengeboran lubang memahami
instructions. / antara team untuk
untuk memasang Kesalahan instruksi kerja mencegah kelalaian
baut apabila lubang perencanaan,
yang tersedia tidak kurang lengkap dan
pas dengan yang akurat informasi
diinginkan. yang di dapatkan
dari instruksi kerja

2.1 Flying material Spark and / or Injuries to workers 2.1.1Use personal


3 3 9
hazard / Bahaya particle from Cedera pada pekerja protective equipment
benda terbang material hurt the according to work and
worker’s body part proper use / Dunakan a
(eye and face) pelindung diri sesuai
pekerjaan dan layak pak

2.1.2Availability of
officers and first aid ki
Tersedianya Petugas da
kotak P3K

2.2 Electric Shock Worker can be Injuries to workers 4 4 16 2.2.1 Use tools that do
Sengatan Listrik electrocuted Material damage conduct electricity /
Pekerja dapat Cedera pada pekerja Memakai alat yang tida
tersengat listrik Kerusakan material menghantarkan listrik.

2.1.2 Check the conditi


of the tool is in good
condition / Periksa
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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keadaan alat dalam kon


baik

2.2.3 Use electrical h


tools that have insulat
resistance (composite)
Gunakan elektrikal han
tools yang mempunyai
tahanan isolasi (compo

2.2.4 Use personal


protective equipment
according to work and
proper use / Dunakan a
pelindung diri sesuai
pekerjaan dan layak pa

2.2.5Availability of
officers and first aid kit
Tersedianya Petugas da
kotak P3K

4.1 Explosion ignition sources Fire & explosion 4 4 16 4.1.1. Remove flamma
Hazard introduced to the and combustible materi
Bahaya Ledakan flammable surrrounding workplac
atmosphere can (Singkirkan bahan mud
caused in fire & terbakar di sekitar area
explosion kerja)
(Sumber pengapian
yang masuk ke 4.1.2 Gas checkt using
atmosfer yang gas detector by authori
mudah terbakar gas tester
dapat menyebabkan Melakukan gas tes
kebakaran & menggunakan gas detec
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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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ledakan) oleh penguji gas yang


berwenang.

4.1.3.Provide fire
protection system ( suc
fire extinguisher etc)
Menyediakan alat
pemadam api (misalny
APAR dll)

4.1.4 Work according t


hot work procedures
.Bekerja sesuai prosedu
kerja panas

4.1.5. Fire watcher


available
Tersedianya petugas
pemadam kebakaran

5.1 Height hazard Fallen Injuries to workers even 4 4 16 5.1.1Use Full Body
Bahaya Ketinggian Terjatuh to fatality Harness (do not use F
Cedera pada pekerja with shock absorber if
bahkan sampai kematian working under less than
5m.)
Menggunakan Full Bo
Harness (Jangan
menggunakan FBH den
peredam kejut jika bek
di bawah kurang dari 5

5.1.2 If using scaffoldin


>The scaffolding used
must be recommended
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

according to safety
standards
>The scaffold must be
equipped with EIC
(Equipment Inspection
Card)
Jika memakai perancah
scaffolding :
>Perancah yang di
gunakan harus
direkomendasikan ses
standar keselamatan
>Perancah harus dilengk
dengan KIP (Kartu Insp
Peralatan)

5.1.3. Fall protection sy


installation ( Safety net,
line)
Pengaman system jatuh
(Jaring dan tali pengaman

5.1.4 Use personal


protective equipment
according to work and
proper use / Dunakan a
pelindung diri sesuai
pekerjaan dan layak pa

5.1.5.All of worker wh
working at height shou
getting training by JO a
getting sticker.
Semua pekerja yang
bekerja di ketinggian
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

harus mendapatkan
pelatihan dari JO dan
mendapatkan stiker.

5.1.6. Before start all o


people should getting
Daily Check Up
Sebelum memulai sem
orang harus mendapat
pemeriksaan harian.)

9 Lakukan 1.1Miscommunicati Mistakes in doing Delayed Work 2 3 6 1.1.1 There is supervi


pemotongan on / miskomunikasi work Tertundanya pekerjaan and coordination betw
apabila panjang Kesalahan dalam teams to prevent
material tidak melakukan negligence / Adanya
sesuai dengan yang pekerjaan pengawas dan koordina
di inginkan. antara team untuk
mencegah kelalaian
Make cuts if the
length of the
2.1 Scratched by a Scratched by a Injured/Attached by 3 3 9 2.1.1 Use personal
material is not as material
sharp object / sharp object protective equipment
desired. Terluka/Tertimpa material
tergores benda Pekerja tergores according to work and
tajam benda tajam proper use / Dunakan a
pelindung diri sesuai
pekerjaan dan layak pa

2.1.2 Availability of
officers and first aid ki
Tersedianya Petugas da
kotak P3K

3.1 Hand tools not Broken tool Delayed Work 2 3 6 3.1.1 Check the conditi
worth using / Alat rusak Tertundanya pekerjaan of the tool is in good
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

peralatan tidak layak condition / Periksa


pakai keadaan alat dalam kon
baik

4.1 Dangers of Dehydration Occupational Illness


continuous sun Dehidrasi Penyakit akibat kerja 3 3 9 4.1.1 Availability of
exposure at work / sufficient drinking wate
Bahaya paparan sinar the work area /
matahari secara terus
Tersedianya air minum
menerus dalam
pekerjaan yang cukup di area ker

4.1.2 Drinking water


should keep on shelter
with roof
Air minum harus di sim
di tempat yang teduh
beratap.

4.1.3. Do not use sharin


cup
Tidak boleh memakai
cangkir berbagi.

4.1.4. Drinking water


shelter should have sig
hand pump, table, wast
bin.
Tempat penampungan
harus ada tanda, pomp
tanagn, meja dan temp
sampah.

5.1 Height hazard 5.1.1Use Full Body


Fallen Injuries to workers even 4 4 16 Harness (do not use F
Bahaya Ketinggian Terjatuh to fatality with shock absorber if
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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Cedera pada pekerja working under less than


bahkan sampai kematian 5m.)
Menggunakan Full Bo
Harness (Jangan
menggunakan FBH den
peredam kejut jika bek
di bawah kurang dari 5

5.1.2 If using scaffoldin


>The scaffolding used
must be recommended
according to safety
standards
>The scaffold must be
equipped with EIC
(Equipment Inspection
Card)
Jika memakai perancah
scaffolding :
>Perancah yang di
gunakan harus
direkomendasikan ses
standar keselamatan
>Perancah harus dilengk
dengan KIP (Kartu Insp
Peralatan)

5.1.3. Fall protection sy


installation ( Safety net,
line)
Pengaman system jatuh
(Jaring dan tali pengaman

5.1.4 Use personal


protective equipment
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

according to work and


proper use / Dunakan a
pelindung diri sesuai
pekerjaan dan layak pa

5.1.5.All of worker wh
working at height shou
getting training by JO a
getting sticker.
Semua pekerja yang
bekerja di ketinggian
harus mendapatkan
pelatihan dari JO dan
mendapatkan stiker.

5.1.6. Before start all o


people should getting
Daily Check Up
Sebelum memulai sem
orang harus mendapat
pemeriksaan harian.)

10 Lanjutkan 1.1 Ratchet puller Broken tool Tool malfunction that can 2 3 6 1.1.1 Check the conditi
pekerjaan merakit tool broken / alat Alat rusak delay work of the tool is in good
dan memasang ratchet puller rusak Kerusakan alat yang condition / Periksa
sampai selesai. menyebabkan pekerjaan keadaan alat dalam kon
tertunda baik
Continue
assembling and
2.1 The danger of Workers can be Injury to worker / 2.1.1 Use personal
installing work to
being pinched / pinched by tools Cedera pada pekerja 3 3 9 protective equipment
completion
bahaya terjepit alat Pekerja dapat according to work and
terjepit alat proper use / Dunakan a
pelindung diri sesuai
pekerjaan dan layak pa
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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2.1.2 Availability of
officers and first aid ki
Tersedianya Petugas da
kotak P3K

3.1 Danger of Support poles Injury to worker or 3 3 9 3.1.1 ensure the


support poles not broken and collapse material damage installation of the pole
leveling / tiang Tiang penyangga Cedera pada pekerja not tilted / level /
penyangga tidak rusak dan roboh atau kerusakan material memastikan pemasanga
level atau miring tiang tidak miring / lev

3 3 9 4.1.1 Availability of
4.1 The dangers of Dehydration Occupational Illness sufficient drinking wate
continuous sun Dehidrasi Penyakit akibat kerja the work area /
exposure at work / Tersedianya air minum
Bahaya paparan sinar yang cukup di area ker
matahari secara terus
menerus dalam 4.1.2 Drinking water
pekerjaan should keep on shelter
with roof
Air minum harus di sim
di tempat yang teduh
beratap.

4.1.3. Do not use sharin


cup
Tidak boleh memakai
cangkir berbagi.

4.1.4. Drinking water


shelter should have sig
hand pump, table, wast
bin.
Tempat penampungan
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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harus ada tanda, pom


tanagn, meja dan tem
sampah.

11 After everything is 1.1 Messy work Dusty work area Cause shortness of breath / 1.1.1 Provide plastic tra
connected, continue equipment and trash / Messy trash and ARI 3 3 9 bags / menyediakan tem
cleaning the work peralatan kerja dan equipment Lost equipment sampah plastik
area sampah berserakan Area kerjayang Menimbulkan sesak
berdebu nafas / ISPA 1.1.2 Carry out
(Setelah sudah Sampah dan socialization related to
Peralatan yang hilang
tersambung semua peralatan yang cleanliness / Pastikan
lanjut cleaning area berantakan untuk melakukan
kerja) sosialisasi terkait
kebersihan

1.1.3 Do housekeeping
after work / lakukan
housekeeping setelah
selesai bekerja

2.1 Bahaya Fallen Injuries to workers even 4 4 16 2.1.1Use Full Body


Ketinggian Terjatuh to fatality Harness (do not use F
Cedera pada pekerja with shock absorber if
bahkan sampai kematian working under less than
5m.)
Menggunakan Full Bo
Harness (Jangan
menggunakan FBH den
peredam kejut jika bek
di bawah kurang dari 5

2.1.2 If using scaffoldin


>The scaffolding used
must be recommended
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

according to safety
standards
>The scaffold must be
equipped with EIC
(Equipment Inspection
Card)
Jika memakai perancah
scaffolding :
>Perancah yang di
gunakan harus
direkomendasikan ses
standar keselamatan
>Perancah harus dilengk
dengan KIP (Kartu Insp
Peralatan)

2.1.3. Fall protection sy


installation ( Safety net,
line)
Pengaman system jatuh
(Jaring dan tali pengaman

2.1.4 Use personal


protective equipment
according to work and
proper use / Dunakan a
pelindung diri sesuai
pekerjaan dan layak pa

2.1.5.All of worker wh
working at height shou
getting training by JO a
getting sticker.
Semua pekerja yang
bekerja di ketinggian
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

Doc. No. 26071-JO-HSE-014


ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
Effective Date 13 January 2021
DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

harus mendapatkan
pelatihan dari JO dan
mendapatkan stiker.
1.1.1.Use proper lighti
2.1.6.
on theBefore
workingstart allwh
area o
people
working should getting
at night.
Daily Check Uppeneran
Menggunakan
Sebelum memulai
di area kerja sem
pada saat
orang
bekerjaharus mendapat
di malam hari.
pemeriksaan harian
12 Installation of Working at night 1.1 Crashing / Injury 3 3 9
lighting at night Hazard bumping into Cedera
(When needed objects because it's
overtime) Electric Shock dark
Pemasangan lampu Terbentur/menabra
penerangan saat k benda karena
malam hari gelap
(Apabiladi
butuhkan lembur)

2.1Electrocuted Worker can be 4 4 16 2.1.1 Use tools that do


when connecting electrocuted conduct electricity /
electric current. Pekerja dapat tersengat Memakai alat yang tida
Tersengat listrik listrik menghantarkan listrik
pada saat
penyambungan arus 2.1.2 Check the conditi
listrik. of the tool is in good
condition / Periksa
keadaan alat dalam kon
baik

2.1.3 Use electrical h


tools that have insulatio
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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PROJECT Revision No. 001

resistance (composite)
Gunakan elektrikal han
tools yang mempunyai
tahanan isolasi (compo

2.1.4. Use personal


protective equipment
according to work and
proper use / Dunakan a
pelindung diri sesuai
pekerjaan dan layak pa

2.1.5. Installation of
LOTO and barricades o
the specified object / ar
Pemasangan LOTO da
barricade pada object
area yang di tentukan
.
2.1.6. Availability of
officers and first aid ki
Tersedianya Petugas da
kotak P3K
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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PROJECT Revision No. 001

Risk Rangking (RR) Recommend


Probability (PR) Severity / consequence Tingkat Risiko Tindakan P
x =
Kemungkinan Keparahan Score Level Tingkat pengendalian
Frequent =5 Catastrophic= 5 19-25 Extreme high E= 1+2+3+4+5
Probable =4 Major= 4 13-18 High H= 3+4+5
Occasional = 3 Moderate / Serious = 3 6-12 Medium M= 4+5
Unlikely =2 Minor= 2 1-5 Low L=5
Improbable = 1 Negligible= 1

Note : * : Without Control / Tanpa control


*) : With Control /
Dengan control
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ATTEDANCE LIST - JSA SOCIALIZATION


Signature
Date: Date: Date: Date: Date: Date:
No Name Position Company

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
JOB SAFETY ANALYSIS (JSA) AND RISK ASSE

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ENGINEERING PROCUREMENT CONSTRUCTION FOR REFINERY
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DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-V BALIKPAPAN
PROJECT Revision No. 001

JSA No. : RDMP / JSA /......................... / ..................... JSA Title


: Cable Tray Installation

ATTENDANCE LIST – JSA PREPARATION


NO NAME POSITION COMPANY

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